Amendment Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 29 of 2016)

Administered by Department of Veterans' Affairs

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EXPLANATORY STATEMENT

 

Amendment Statement of Principles concerning depressive disorder

(Reasonable Hypothesis) (NO. 29 OF 2016)

 

VETERANS’ ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Amendment Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 29 of 2016).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsections 196B(2) and (8) of the Veterans’ Entitlements Act 1986 (the VEA) Amendment Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 29 of 2016).

3.             This Instrument amends Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 83 of 2015) by:

  • replacing the factors in subsections 9(1)(l) & 9(15) concerning 'severe, chronic medical condition';
  • deleting the definition of 'chronic medical condition' in Schedule 1 - Dictionary; and
  • inserting a definition of 'severe, chronic medical condition' in alphabetical order in Schedule 1 Dictionary.

Day of Commencement

4.             This Instrument also specifies a day of commencement for the amendment in accordance with subsection 12(1)(a) of the Legislative Instruments Act 2003.

Consultation

5.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to depressive disorder in the Government Notices Gazette of 9 December 2015, and circulated a copy of the notice of intention to investigate to a wide range of organisations representing veterans, service personnel and their dependants.  The Authority invited submissions from the Repatriation Commission, organisations and persons referred to in section 196E of the VEA, and any person having expertise in the field.  One submission was received for consideration by the Authority during the investigation.

Human Rights

6.             This instrument is compatible with the Human Rights and Freedoms recognised or declared in the International Instruments listed in Section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011. A Statement of Compatibility with Human Rights follows.

Finalisation of Investigation

7.             The determining of this Instrument finalises the investigation in relation to depressive disorder as advertised in the Government Notices Gazette of 9 December 2015.

References

8.             A list of references relating to the above condition is available to any person or organisation referred to in subsection 196E(1)(a) to (c) of the VEA.  Any such request must be made in writing to the Repatriation Medical Authority at the following address:

The Registrar

Repatriation Medical Authority

GPO Box 1014

BRISBANE    QLD    4001

 


Statement of Compatibility with Human Rights

(Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011)

 

Instrument No.:   Amendment Statement of Principles No. 29 of 2016

Kind of Injury, Disease or Death: Depressive disorder

 

This Legislative Instrument is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.

Overview of the Legislative Instrument

1. This Legislative Instrument is determined pursuant to subsection 196B(8) of the Veterans' Entitlements Act 1986 (the VEA) for the purposes of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).  Part XIA of the VEA requires the determination of these instruments outlining the factors linking particular kinds of injury, disease or death with service such being determined solely on the available sound medical-scientific evidence.

2. This Legislative Instrument:-

  • facilitates claimants in making, and the Repatriation Commission in assessing, claims under the VEA and the MRCA respectively, by specifying the circumstances in which medical treatment and compensation can be extended to eligible persons who have depressive disorder;
  • facilitates the review of such decisions by the Veterans' Review Board and the Administrative Appeals Tribunal;
  • includes revised factors which the current sound medical-scientific evidence indicates must as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting depressive disorder with the circumstances of eligible service rendered by a person;
  • amends Instrument No. 83 of 2015; and
  • reflects developments in the available sound medical-scientific evidence concerning depressive disorder which have occurred since that earlier instrument was determined. 

3. The Instrument is assessed as being a technical instrument which improves the medico-scientific quality of outcomes under the VEA and the MRCA. 

Human Rights Implications

4. This Legislative Instrument does not derogate from any human rights. It promotes the human rights of veterans, current and former Defence Force members as well as other persons such as their dependents, including:

  • the right to social security (Art 9, International Covenant on Economic, Social and Cultural Rights; Art 26, Convention on the Rights of the Child and Art 28, Convention on the Rights of Persons with Disabilities) by helping to ensure that the qualifying conditions for the benefit are 'reasonable, proportionate and transparent'[1];
  • the right to an adequate standard of living (Art 11, ICSECR; Art 27, CRC and Art 28, CRPD) by facilitating the assessment and determination of social security benefits;
  • the right to the enjoyment of the highest attainable standard of physical and mental health (Art 12, ICSECR and Art 25, CRPD), by facilitating the assessment and determination of compensation and benefits in relation to the treatment and rehabilitation of veterans and Defence Force members;
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD); and
  • ensuring that those rights "will be exercised without discrimination of any kind as to race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status" (Art 2, ICESCR).

Conclusion

This Legislative Instrument is compatible with human rights as it does not derogate from and promotes a number of human rights.

 

Repatriation Medical Authority

 

 

 

 

 

 

[1] In General Comment No. 19 (The right to social security), the Committee on Economic, Social and Cultural Rights said (at paragraph 24) this to be one of the elements of ensuring accessibility to social security.

Overview

The Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004 were amended by the Repatriation Medical Authority through the Amendment Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 29 of 2016). This amendment was enacted to address the evolving understanding of depressive disorder in the context of service-related disabilities. It was introduced to refine the criteria for assessing claims related to depressive disorder, ensuring that the principles are aligned with the latest medical and scientific evidence. The Repatriation Medical Authority, acting under the authority granted by the Veterans’ Entitlements Act 1986, conducted an investigation into depressive disorder, inviting submissions from relevant parties to inform the amendment. The policy objective of this amendment is to facilitate the assessment and determination of claims by providing clear, evidence-based criteria that connect depressive disorder with eligible service, thereby ensuring that veterans and Defence Force members receive appropriate medical treatment and compensation.

Scope and Application

The Amendment Statement of Principles concerning depressive disorder (Reasonable Hypothesis) (No. 29 of 2016) applies to individuals and entities involved in claims under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, particularly concerning veterans, current and former Defence Force members, and their dependents who suffer from depressive disorder. This legislative instrument amends the previous Statement of Principles (No. 83 of 2015) by replacing and clarifying certain factors related to severe, chronic medical conditions and updating definitions to reflect current medical-scientific evidence. The amendments aim to facilitate the assessment and review of claims, ensuring that the qualifying conditions for benefits are reasonable, proportionate, and transparent, thereby promoting the human rights of affected individuals. This instrument does not specify exclusions or thresholds but rather extends its application to all relevant parties within the Commonwealth jurisdiction, ensuring a consistent and fair approach to compensation and benefits. Subordinate instruments may further define specific details or operational aspects of this legislation.

Key Provisions

The main operative sections of the Amendment Statement of Principles concern depressive disorder (Reasonable Hypothesis) (No. 29 of 2016), which is set out under sections 9(1)(l) and 9(15) of the Veterans’ Entitlements Act 1986 (VEA). This legislative instrument replaces the factors concerning 'severe, chronic medical condition' and redefines 'severe, chronic medical condition' in alphabetical order in Schedule 1 – Dictionary of the VEA. It also deletes the previous definition of 'chronic medical condition'. The instrument is intended to facilitate the assessment of claims under the VEA and the Military Rehabilitation and Compensation Act 2004 by specifying the circumstances in which medical treatment and compensation can be extended to eligible persons who have depressive disorder. The Act imposes several obligations on the parties it governs. The Repatriation Medical Authority (the Authority) must determine the statement of principles based on the available sound medical-scientific evidence. The Authority is also required to advertise its intention to undertake an investigation in relation to depressive disorder and invite submissions from relevant stakeholders, including the Repatriation Commission, organisations representing veterans, service personnel, and their dependants, as well as any person having expertise in the field. The Authority must consider any submissions received and ensure that the legislative instrument is compatible with human rights. Additionally, the Authority must facilitate the review of decisions by the Veterans' Review Board and the Administrative Appeals Tribunal. There are no specific offences, penalties, or civil/criminal consequences outlined for breach of this instrument. However, the legislative instrument is assessed as being a technical instrument that improves the medico-scientific quality of outcomes under the VEA and the Military Rehabilitation and Compensation Act 2004. The instrument is designed to ensure that the qualifying conditions for benefits are'reasonable, proportionate, and transparent', thereby promoting the human rights of veterans, current and former Defence Force members, and their dependents. Failure to comply with the requirements of the instrument could result in claims being assessed incorrectly, potentially depriving eligible persons of the benefits to which they are entitled. This instrument is compatible with the human rights and freedoms recognised or declared in the International Instruments listed in Section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011. The Statement of Compatibility with Human Rights indicates that the legislative instrument does not derogate from any human rights and promotes several, including the right to social security, the right to an adequate standard of living, and the right to the enjoyment of the highest attainable standard of physical and mental health. By facilitating the assessment and determination of social security benefits and compensation, the instrument ensures that these rights are exercised without discrimination of any kind. The Authority is committed to ensuring that the legislative instrument adheres to human rights standards and promotes the well-being of eligible persons.

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